Abstract:

Objective　Combined with clinical practice experience, to explore the application effect of wechat public platform intervention in the rehabilitation of cardiovascular diseases under the background of Internet. Methods　This study was a randomized controlled trial. A total of 300 patients with cardiovascular diseases admitted to Jiangxi Provincial People's Hospital from October 2021 to June 2023 were prospectively selected as the study objects, and were divided into an observation group and a control group according to the random number table method with 150 cases in each group. In the observation group, there were 86 males and 74 females, aged 56 - 78 (62.38±6.15) years, including 46 cases of atrial fibrillation, 35 cases of chronic heart failure, 29 cases of hypertension, 26 cases of coronary heart disease, and 14 cases of acute myocardial infarction. In the control group, there were 89 males and 71 females, aged 52 - 75 (63.05±6.27) years, including 48 cases of atrial fibrillation, 32 cases of chronic heart failure, 31 cases of hypertension, 27 cases of coronary heart disease, and 12 cases of acute myocardial infarction. The control group received routine cardiovascular disease health education; the observation group added wechat public account publicity and intervention, established a public platform, and guided and supervised patients. The intervention lasted for three months. The scores of self-management ability, anxiety, and depression were compared between the two groups before and after intervention, the scores of quality of life and compliance were compared between the two groups after intervention, the incidence of adverse cardiovascular events were compared between the two groups, and the patient satisfaction was analyzed. χ² test and t test were used. Results　After 3 months of intervention, the scores of compliance with medical drugs, diet management, disease monitoring, exercise management, and complication prevention in the observation group were higher than those in the control group (all P<0.05). After 3 months of intervention, the quality of life scores in the observation group were higher than those in the control group (all P<0.05). After 3 months of intervention, the compliance scores of medication, diet, and exercise in the observation group were higher than those in the control group (all P<0.05). After 3 months of intervention, the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the observation group were lower than those in the control group [(47.39±4.04) points vs. (53.67±5.89) points, (42.16±4.12) points vs. (56.59±5.27) points] (both P<0.05). The incidence of adverse cardiovascular events in the observation group [1.33% (2/150)] was lower than that in the control group [6.00% (9/150)] (χ²=4.624, P=0.032). The total satisfaction of the observation group [94.00% (141/150)] was higher than that of the control group [84.67% (127/150)] (χ²=6.856, P=0.009). Conclusion　In the era of Internet media convergence, wechat public platform intervention can improve the self-management ability in patients with cardiovascular diseases, improve the quality of life, reduce the adverse cardiovascular events, and improve the patient satisfaction.

Key words:

Cardiovascular diseases, Wechat public platform, Internet media, Era of convergence, Knowledge dissemination, Prognostic recovery

摘要：

目的　结合临床实践经验，探讨互联网背景下微信公众平台干预在心血管疾病患者康复中的应用效果。方法　本研究为随机对照试验，前瞻性选取2021年10月至2023年6月江西省人民医院接诊的心血管疾病患者300例为研究对象，根据随机数字表法分为观察组和对照组各150例。观察组男76例，女74例，年龄56～78（62.38±6.15）岁，其中房颤46例、慢性心衰35例、高血压29例、冠心病26例、急性心梗14例；对照组男79例，女71例，年龄52～75（63.05±6.27）岁，其中房颤48例、慢性心衰32例、高血压31例、冠心病27例、急性心梗12例。对照组采用常规心血管疾病健康教育，观察组增加微信公众号宣传和干预，建立公众平台，对患者进行指导和监督，干预时间为3个月。比较两组干预前后自我管理能力和焦虑抑郁评分，比较干预后两组患者生活质量和依从性评分，比较两组不良心血管事件，统计两组患者满意度。采用χ²检验、t检验。结果　干预3个月后，观察组患者遵医用药、饮食管理、疾病监测、运动管理和并发症预防评分均高于对照组（均P<0.05）。干预3个月后，观察组患者生活质量各项评分均高于对照组（均P<0.05）。干预3个月后，观察组患者用药、饮食、锻炼方面依从性评分均高于对照组（均P<0.05）。干预3个月后，观察组焦虑自评量表（SAS）评分和抑郁自评量表（SDS）评分均低于对照组［（47.39±4.04）分比（53.67±5.89）分、（42.16±4.12）分比（56.59±5.27）分］（均P<0.05）。观察组患者干预期间不良心血管事件发生率［1.33%（2/150）］低于对照组［6.00%（9/150）］（χ²=4.624，P=0.032）。观察组患者总满意度［94.00%（141/150）］高于对照组［84.67%（127/150）］（χ²=6.856，P=0.009）。结论　互联网媒体融合时代下微信公众平台干预可提高心血管疾病患者自我管理能力，提高生活质量，减少不良心血管事件，患者满意度较高。

关键词:

心血管疾病, 微信公众平台, 互联网媒体, 融合时代, 知识传播, 预后康复